Are Periodic Episodes Of Tachycardia Common While Having Pulmonary Hypertension?
Pulmonary hypertension
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
There are many causes of pulmonary hypertension. It is a long list.
However pulmonary hypertension with episodic tachycardia is most commonly due to Left-sided atrial or ventricular heart disease or Left-sided valvular heart disease .Tachycardia may be due to intermittent atrial fibrillation or paroxysmal supraventicular tachycardia in such cases.
Persistent tachycardia may also be due to left heart failure.
You might have already undergone ECG and 2-D Echocardigram for evaluation of
pulmonary hypertension.
Phentermine can cause Primary pulmonary hypertension.
Topamax (Topiramate) is not known to cause or aggravate pulmonary hypertension.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Pulmonary hypertension
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
If you have developed symptoms and signs of pulmonary hypertension following phentermine use , you should forthwith discontinue phentermine .Pulmonary hypertension is likely to regress subsequently.
What was the pulmonary arterial blood pressure recorded on your 2-D Echocardiography?
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Pulmonary hypertension-follow up query
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
2-D Echocardiography and echocardiogram are same.Echocardiogram is usually combined with color Doppler study which gives the information about various pressure recording including pulmonary arterial blood pressure.Normal pulmonary arterial blood pressure is 30/15 mm hg.
You have not elaborated your symptoms or signs.
The most common symptom attributable to pulmonary hypertension is exertional dyspnea. Other common symptoms are fatigue, angina pectoris, syncope, near syncope, and peripheral edema
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Go for pulmonary function tests & HRCT chest
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
You have some symptoms which can occur in pulmonary hypertension. It is also quite possible that you are having some primary lung disorders which can give rise to secondary pulmonary hypertension.
Go for pulmonary function tests & HRCT chest, if not already done.
However you need to discontinue phetermine and switch over to some other group of drugs for weight loss.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
By any chance could the 15 p.e i had between the bases of the lungs 12 yrs ago be causing my signs and symptoms i have described earlier? If so what do you do to correct the issue
high resolution computerized tomography of chest
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
HRCT chest stands for high resolution computerized tomography of chest.
HRCT gives detailed images of the lung parenchyma ( which is comparable to gross tissue inspection ) and thus allows detection of diseases at an earlier stages than conventional CT scan.
With high resolution CT scan’, the thickness of individual cross sectional images is approximately 1-2 mm (HRCT utilizes thin collination ),rather than the usual 10 mm (usually of 5-7 mm),
I could not follow what you want to convey by '15 p.e ' Please elaborate.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Also when I'm at work i most of the time put on a tough guy act and dont let others know that I'm having issues with s.o.b and chest discomfort and keep pushing my self until i cant take it any more should i be pushing myself to the limits like this or not? I dont want people to think great she's not goig to be much help today which is why i push myself as far as i can.
Recurrent pulmonary embolism(PE)
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Recurrent or Chronic pulmonary thrombo-embolism is a cause of Pulmonary hypertension .
Again HRCT chest will clarify the extent of damage or fibrosis in lungs due to PE.
You need to undertake any physical activity within limit of your tolerance and not to push yourself beyond the edge.Small works for short period probably will be better than working hard for a long stretch.
Regards
Dr. T.K. Biswas M.D. XXXXXXX